Midwest CareCenter Clinical Orientation Evaluation - June, 2012

Please take a moment to evaluate your Clinical Orientation Experience. Thank you and Welcome to Midwest CareCenter.

Name (optional): 


  1. The topics presented were informative and useful.
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Please rate Luisita Graff on organization and engagement on the following topics:
    Introduction to Clinical Orientation Program
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Advance Directives
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Cultural Competence Video
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Cultural Competence
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Infection Control
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Elder Abuse Assessment
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Suicide/Homicide Assessment
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Last Hours
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. CLIA Waived Competency
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Please rate Pat Collins on organization and engagement on the following topics:
    Branded Clothing and Supplies
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Maureen Rehwaldt
    Fall Risk Assessment
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Maureen Rehwaldt
    Documentation
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Cathleen Adams
    World Class Care
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Cathleen Adams
    Complex Care Management
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Linda Lewandowski
    Care Team & Facility Expectations, SBAR
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Lisa Meyer
    White Boards/Hourly Rounds
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Susan Nelson
    Standardized IDT
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Maureen Rehwaldt
    Death Pronouncement, Body Donation,Funeral Planning, Cremation
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Kristine Hunt
    Standardized Visit
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Please rate Jane Watson on organization and engagement: ONE POINT pharmacy
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Maureen Rehwaldt
    Pain Management/Case Studies
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Susan Martersteck
    Nutrition Assessment and Hydration
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Maureen Rehwaldt
    Delirium
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Maureen Rehwaldt
    IV Therapy
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. All Clinicians. Please rate the HEN videos (#26-30): Emergency and Disaster Management
      1 2 3 4 5  
    Excellent   Poor


  1. "Just One More Bite: Understanding Change in Eating and Drinking".
      1 2 3 4 5  
    Excellent   Poor


  1. Nutrition at the End of Life
      1 2 3 4 5  
    Excellent   Poor


  1. ELNEC Geri: Goals of Care and Ethical Issues at the End of Life
      1 2 3 4 5  
    Excellent   Poor


  1. ELNEC Geri: Pain Assessment & Management
      1 2 3 4 5  
    Excellent   Poor


  1. For CNAs only (#31-37). Please rate Luisita Graff on organization and engagement on the following topics:
    Battling Without a Battle video
      1 2 3 4 5  
    Excellent   Poor


  1. The Ultimate Emotional Challenge
      1 2 3 4 5  
    Excellent   Poor


  1. End of Life Care
      1 2 3 4 5  
    Excellent   Poor


  1. CNA Written Skills Assessment Test/Review
      1 2 3 4 5  
    Excellent   Poor


  1. Falls Risk Assessment
      1 2 3 4 5  
    Excellent   Poor


  1. Conducting a Visit
      1 2 3 4 5  
    Excellent   Poor


  1. Back Safety, Hoyer lift, Use of Gait Belt for transfers
      1 2 3 4 5  
    Excellent   Poor


  1. What did you like MOST about Clinical Orientation?


  1. What did you like LEAST about Clinical Orientation?


  1. How could we change Clinical Orientation to provide a more meaningful experience for you?


  1. Any additional questions?





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